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Sample Record for 2019-11-26-18

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214157 DEA: 081H3404 EFIS: 0817000016 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-210,215-21.1/R26.3,4.1/14.3
Work Description: PRECAST SLAB AND CURB RAMP REPLACEMENT AND PLACE RHMA-G.
Location Description: SAN BERNARDINO COUNTY ON ROUTE 210 FROM 0.6 MILE EAST OF STATE STREET TO STERLING AVENUE AND ON ROUTE 215 FROM PALM STREET TO ROUTE 10/215 SEPARATION
Contractor Name: RV CONCRETE, INC.
Contractor Address: 605 E COMMERCIAL ST, ANAHEIM CA 92801
Resident Engineer: Samer Georges Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-11-26-18
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 11/26/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/28/2019
The quantity of what the sample constitutes: 1 bag combined aggregate
A brief description of the sample: AC Drum Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: belt an chute
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2019-11-26-18-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/19/2019
Date Tested: 12/02/2019
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 97 %
Cumulative percent passing the 1/2 in. sieve 85 %
Cumulative percent passing the 3/8 in. sieve 64 %
Cumulative percent passing the #4 sieve 26 %
Cumulative percent passing the #8 sieve 14 %
Cumulative percent passing the #16 sieve 9 %
Cumulative percent passing the #30 sieve 6 %
Cumulative percent passing the #50 sieve 4 %
Cumulative percent passing the #100 sieve 3 %
Cumulative percent passing the #200 sieve 2.3 %

Test 2 of 2

DIME Test ID: 2019-11-26-18-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Verified Date: 12/19/2019
Date Tested: 12/02/2019
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sand Equivalent 70